食物外伤性食管炎,在内科临床中并不少见。一般症状轻微易于恢复,其并发大量呕血者,有时被误为溃疡病出血而入院,有时经过顽固,病人极感痛苦;强酸强碱中毒在急性情况下,常入内科抢救,其并发症腐蚀性食管炎最易造成瘢痕狭窄,过去对这类患者在治疗上很感棘手,效果不能令人满意;国外对腐蚀性食管炎,有用激素,抗菌素及Levine氏管治疗而获成功者,国内则尚少报告,近来我们用小量考的松并抗菌素治疗严重食管炎三例,兹介绍于后: 病例报告例一:张××女性 20岁(住院号80081)因报硝强水后,呕吐腹痛2小时于60年0月21日晚10时急症入院,自诉因思念已故之母而服硝强水150毫升,后即发生呕吐,上腹部剧痛,吐出物为血液并混有粘液,经急症室抢救转入病房。查体:体温35.2℃,血压90/70毫米汞柱,脉搏108次/分,呼吸22次/分,痛苦病容,轻度休克状态,发育营养佳,皮肤无烧灼处, Traumatic esophagitis food, clinical medicine is not uncommon. The general symptoms of a slight easy to recover, its concurrent massive vomiting, and sometimes mistaken for ulcer bleeding and admission, and sometimes stubborn, the patient extremely painful; acid and alkali poisoning in acute cases, often into the medical rescue, the corrosive complications Esophagitis most likely to cause scar stenosis, in the past on the treatment of these patients is very tricky, the effect is not satisfactory; foreign corrosive esophagitis, useful hormones, antibiotics and Levine’s tube were successful, the domestic is still Less report, we recently with a small amount of test for the treatment of severe esophagitis and three cases of esophagitis, is introduced later: case report Example 1: Zhang XX female 20 years old (hospital number 80081) due to the newspaper nitrate strong water, vomiting abdominal pain 2 hours at 60 o’clock on the evening of January 21 at 10 o’clock emergency admission, private prosecution because of the deceased mother and served nitrate strong water 150 ml, vomiting immediately after, abdominal pain, spit blood and mixed with mucus, A & amp; E rescue into the ward. Physical examination: body temperature 35.2 ℃, blood pressure 90/70 mm Hg, pulse 108 beats / min, breathing 22 beats / min, painful disease, mild shock, good developmental nutrition,